Malbrough, Jaclyn

Malbrough, Jaclyn is an individual health care provider with primary practice located at 10 Missile Ave , Minot Afb ND 58705-5003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Malbrough, Jaclyn can be contacted via phone (701) 723-5527.

Contact Information

Primary practice address
10 Missile Ave Minot Afb ND 58705-5003
Phone: (701) 723-5527
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12267022-3501 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1386094738
LBN Legal business name Malbrough, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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